Hip pain and conditions

Getting VA Disability for Hip Pain and Related Conditions

If you have hip pain due to your service, you deserve VA compensation. Hip pain may be caused by a variety of conditions recognized by the VA as disabling. This post explains VA hip pain ratings, some common conditions related to hip pain, and how the VA rates these conditions.

You don’t realize how much you use your hips for everyday tasks until they begin to hurt. Hip pain can make even regular movement extremely unpleasant. If you experience hip pain because of an in-service injury or related condition you developed because of your service, you may be eligible for VA disability compensation. That’s why it’s important to understand VA hip pain ratings.

Hip pain among veterans

You use your hips pretty much nonstop without even thinking about it. Each time you move your lower body or take a step, your hip is likely involved in the action.

Hip pain is common, with about 10% of adults saying they deal with it. However, studies have shown veterans may experience higher rates of pain, including severe pain, than the general population. At the same time, they may also have it more ingrained in them to ignore or minimize their own pain.

Pain can occur anywhere in the body but is common at the joints, especially after years of wear and tear. Hip pain occurs when you have pain or discomfort where your thigh bone connects to your pelvis.

Strenuous, ongoing physical activity and injury increase the likelihood of experiencing hip pain. That means veterans are prone to hip pain if they were injured during service or had a physically strenuous assignment.

Other causes of hip pain include various types of arthritis and bursitis. These conditions may have also developed because of an injury during service.

Hip pain VA ratings

VA ratings for hip pain depend on its cause and severity. Below is an overview of some causes of hip pain and how the VA rates them.

Ankylosis and range of motion of the hip

Many issues of the hip come down to stiffness, immobility, or limited range of motion in the hip.

The VA rates ankylosis of the hip using diagnostic code 5250 in the Schedule of Ratings as follows:

Description

VA Rating

Monthly Payment
(Veteran Only)
Unfavorable, extremely unfavorable ankylosis, the foot not reaching the ground, crutches necessitated
90%
$2,2297.96
Intermediate
70%
$1,759.19
Favorable, flexion at an angle between 20 and 40 degrees and slight adduction or abduction
60%
$1,395.93

Veterans with less severe limited range of motion in their hip may be rated under diagnostic codes 5251-5255.

Arthritis in the hip

Arthritis causes joint pain and inflammation and is common for people to develop in their hips. If you have arthritis in your hips, you’ll likely experience pain, swelling, and stiffness in your hip joints.

The VA rates degenerative arthritis under diagnostic code 5003. When a veteran’s arthritis is more severe than the diagnostic criteria under 5003 allows for, the VA will instead give a rating based on limitation of motion at the joint. For arthritis in the hip, these ratings include diagnostic codes 5250 – 5255.

The following are the ratings for arthritis:

Description

VA Rating

Monthly Payment
(Veteran Only)
X-ray evidence of involvement of two or more major joints or two or more minor joint groups, with occasional incapacitating exacerbations.
20%
$346.95
X-ray evidence of involvement of two or more major joints or two or more minor joint groups.
10%
$175.51

Arthritic pain in the hip may also cause a veteran to overcompensate using the healthier, stronger side of their body. This can cause additional joint and muscle issues in the opposite, better, leg.

Bursitis in the hip

Bursitis is when the fluid-filled cushions, known as bursa sacs, that are designed to help ease the friction of movement get inflamed. This inflammation causes your hips to hurt when you move.

The VA rates bursitis the same way it rates arthritis, which means the ratings in the above section also apply to bursitis. This means diagnostic code 5003 is used for bursitis unless the condition warrants a higher rating based on limited range of motion.

Hip replacement

Severe or ongoing hip pain may result in the need for a hip replacement. During a hip replacement, a surgeon removes the injured part of the hip and replaces it with an artificial part. Following recovery, you experience less pain and have a more mobile, functioning hip or hips.

The VA rates hip replacements and hip resurfacing under diagnostic code 5054.

As with many surgeries for service-connected conditions, a hip replacement can qualify a veteran for a temporary total rating. The veteran receives a 100% rating for four months after the hip replacement, then the condition is reviewed, and any ongoing issues in the hip are rated using diagnostic codes 5250-5255 for limited range of motion in the hip. Those ratings can be anywhere from 30% to 90% and are listed earlier in this article.

Bilateral hip strain VA rating

A hip strain happens when the muscles in your hip are overstretched or torn. Hip strain can result from a one-time injury or a reinjury of the hip from a past issue. It causes pain, swelling, and muscle weakness and can limit your ability to move your hip.

Depending on the cause, VA may rate hip strain using diagnostic codes 5313-5318 or codes 5250-5255 based on the limited range of motion in the hip. These codes rate between 10% and 90%, depending on the severity of your condition.

“Bilateral” hip strain means the strain is happening in both hips, not just on one side of the body. When conditions affect both sides of a veteran’s body, the VA applies the “bilateral factor” if it increases your combined rating.

The bilateral factor calls for the VA to rate the hip strain on each side of the body separately, combine these ratings, and then add an additional 10% of the combined rating. Because VA ratings are rounded, this additional 10% can sometimes make a big difference in your overall rating and monthly compensation.

TDIU for hip pain

In some cases, a veteran can be awarded total disability based on individual unemployability (TDIU) for their conditions causing hip pain. Veterans are eligible for this benefit if they can’t obtain substantially gainful employment due to their condition. TDIU may be granted for a veteran’s hip conditions alone or may be granted based on the combined effects of many service-connected conditions.

Hip pain can leave a veteran in almost constant pain and essentially immobile. It may keep them from performing work-related tasks like walking, standing, or sitting for long periods. Hip pain may also require medications for pain management which have disabling side effects.  Veterans may also have even more difficulty working if they have additional service-connected conditions. When veterans apply for and are granted TDIU, they are compensated at the 100% disability rating level even though their condition is rated below 100%.

Veterans who can’t hold down a steady job that supports them financially (known as substantially gainful employment) because of their service-connected disabilities are considered eligible for TDIU if they have:

1

At least one service-connected disability rated at 60% or more disabling OR

2

Two or more service-connected disabilities with at least one rated at 40% or more disabling and a combined rating of 70% or more

How VA can help

Our VA-accredited attorneys have helped thousands of veterans nationwide who can no longer work because of their service-connected conditions. Call us today for your free, confidential TDIU case evaluation. You won’t pay us unless we win your claim.

FREQUENTLY ASKED QUESTIONS

Yes. Ischemic heart disease, also known as coronary artery disease, is a type of arteriosclerotic heart disease. Ischemic heart disease is a presumptive of Agent Orange exposure for qualifying veterans.

The disability rating for hip pain depends on the cause of the pain and how it limits your range of motion. The rating can be anywhere from 10% to 100% and can also be affected by the bilateral factor if you experience pain in both hips.

Yes, you can get a VA disability rating for hip pain caused by an old injury if the injury is service-connected or if service worsened an existing injury.